Organization Active NPI

Twelve Lac Inc

Doing business as Unique Home Health

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1184651515
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
011026 Issued in TX
Legal business name
TWELVE LAC INC
Doing business as
Unique Home Health
Practice address
637 Chalmers Ave
San Antonio, TX 78214-1628
Phone
(210) 924-6077
Fax
(210) 924-6106
NPI assigned
Jun 28, 2006
Last updated
Oct 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Yolanda G. Rodriguez, RN
Title
Ceo/President
Phone
(210) 924-6077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 011026 TX Primary

Addresses

Primary practice location

637 Chalmers Ave
San Antonio, TX 78214-1628

Mailing address

637 Chalmers Ave
San Antonio, TX 78214-1628
Phone (210) 924-6077

Other identifiers 1

IdentifierTypeStateIssuer
011026OtherTXHCSSA

Other names 1

  • UNIQUE HOME HEALTH Doing business as

National Provider Directory

National Provider Directory

Locations

2415 Nogalitos
Ste C
San Antonio, TX 78225
Phone (210) 924-6077

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1184651515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 CHALMERS AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141628",
            "telephone_number": "210-924-6077",
            "fax_number": "210-924-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 CHALMERS AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141628",
            "telephone_number": "210-924-6077",
            "fax_number": "210-924-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWELVE LAC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "210-924-6077",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCSSA",
            "identifier": "011026",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIQUE HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UNIQUE HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.